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A large segment of white middle-aged Americans has suffered a startling rise in its death rate since 1999, according to a review of statistics published Monday that shows a sharp reversal in decades of progress toward longer lives.
The mortality rate for white men and women ages 45-54 with less than a college education increased markedly between 1999 and 2013, most likely because of problems with legal and illegal drugs, alcohol and suicide, the researchers concluded. Before then, death rates for that group dropped steadily, and at a faster pace.
An increase in the mortality rate for any large demographic group in an advanced nation has been virtually unheard of in recent decades, with the exception of Russian men after the collapse of the Soviet Union.
The rising death rate was accompanied by an increase in the rate of illness, the authors wrote in the Proceedings of the National Academy of Sciences.
What are the causes?
“Drugs and alcohol, and suicide . . . are clearly the proximate cause,” said Angus Deaton, the 2015 Nobel laureate in economics, who co-authored the paper with his wife, Anne Case. Both are economics professors at Princeton University.
“Half a million people are dead who should not be dead,” he added. “About 40 times the Ebola stats. You’re getting up there with HIV-AIDS.”
But Monday’s bleak findings could have far-reaching implications as the surviving members of this sizable segment of the population continue toward retirement and eligibility for Medicare, according to experts. A sicker population that has been less able to prepare for the costs associated with old age will place an increasing burden on society and federal programs, they said.
“This is the first indicator that the plane has crashed,” said Jonathan Skinner, a professor of economics at Dartmouth College, who reviewed the study and co-authored a commentary that appears with it. “I don’t know what’s going on, but the plane has definitely crashed.
I personally don't think society as is sustainable. Economic insecurity is abound. Automation is killing more jobs. The gap between rich and poor continues to rise. Mental health for many is getting worse and worse. Yet we spend billions on an out of date military, while our own citizens suffer.
The proportion of people who said they were in “serious psychological distress” also rose significantly, the research shows.
Deaton, awarded the Nobel prize for his work on individual consumption choices, has long studied measures of well-being, health and pain. He and Case authored a paper in June that found reports of physical pain “are strongly predictive of suicide in many contexts” and that reports of pain are increasing among middle-aged Americans.
Their findings have been corroborated by other research. A report from the National Heroin Task Force established by the Justice Department puts the number of overdose deaths from legal and illegal drugs at 110 every day. The heroin death toll has quadrupled in the decade that ended in 2013, according to the Centers for Disease Control and Prevention.
https://www.washingtonpost.com/nati...a63098-8172-11e5-8ba6-cec48b74b2a7_story.html